Prognostic Factors in Outpatient Psychotherapy of Bulimia
- 1 January 1991
- journal article
- Published by S. Karger AG in Psychotherapy and Psychosomatics
- Vol. 56 (1-2) , 48-55
- https://doi.org/10.1159/000288530
Abstract
Little is known about prognostic factors in the treatment of bulimic patients. In the context of an ongoing study we looked at 1-year symptomatic outcome of 37 outpatients fulfilling DSM-III-R criteria for bulimia nervosa in relation to a variety of measures at first assessment. These included multiple measures of depression, measures of borderline personality disorder, a personality inventory, a symptom checklist and information about the history and the severity of the illness. Results add evidence to the importance of personality variables in predicting outcome: patients with high scores on the Borderline Syndrome Index indicating a severe disturbance tend to have poorer symptomatic outcome, especially when they also experience themselves as dominant (Giessen-Test). Other factors, including abuse of alcohol and history of anorexia did not allow prediction of outcome.Keywords
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